Download the Application

Print out and complete the application and instructions, take the digital photos, obtain the Personal Reference and Dental Examination Forms, and then mail everything to us at:

Smiles 4 Canada
c/o 2800 14th Avenue
Suite 210
Markham, ON
L3R 0E4

The digital photos can be included with the application on a memory stick or CD, or can be e-mailed to

Please note that incomplete applications will be returned, and will not be considered by a Regional Committee.

Application instructions

Application FORM


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